Kelvin Kenyoru, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

68394 Issued in TX

Practice address

13027 State Highway 155 S
Tyler, TX 75703-6560

Phone

(903) 839-1000

NPI assigned

Apr 16, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Pharmacy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1699356295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13027 HWY 155 S",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757036560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13027 STATE HIGHWAY 155 S",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757036560",
            "telephone_number": "903-839-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENYORU",
        "first_name": "KELVIN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-16",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "TX",
            "license": "68394",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "TX",
            "license": "68394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamera Kennedy
• Grace Opoku Kenney, DO
• Benjamin Kensing, MD
• Kent B Boozer DDS PA
• James Edward Kent, DPM
• Michael D Keown, CO, LPO
• Catherine L Kern
• David Brent Kerns, MD
• Leslie Hunter Kerns, CSFA
• Mary Kerr

• Ambulatory Care Pharmacist in Tyler, TX
• Providers in Tyler, TX by specialty
• Ambulatory Care Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.